New Patient Information

Our practice welcomes new patients every day and feels privileged to be available to so many referrals from our current patients and friends. Your first visit will be the longest encounter because we want to spend time getting to know you and working on a customized health plan for you. Sometimes due to the complexity of issues we may need to do a follow up visit at a time that would be appropriate.

About the "New Patient Information" Form...

Click the link "New Patient Information" below to access the PDF form. Your browser should open the form in a new window. Print it using your browser's print command. Complete the form as thoroughly as possible, sign and bring with you.

If you have been treated at some other facility and we are going to discuss your problems, it would be best to forward your medical records in advance so the doctor can be prepared for your visit. The "Release of Medical Records" form can be found at the end of the "New Patient Information" form. COMPLETE, DATE and SIGN, then fax OR mail to the appropriate doctor, clinic, ER, and/or hospital.

All medical information is protected by HIPPA regulations (see HIPPA section and fill out your acknowledgement form) to which we strongly adhere. No medical information is ever divulged without your written consent.

Patient Forms, Policies and Information

Some of the forms will load faster than others depending on your Internet speed.

NEW PATIENT INFORMATION
Check-up Form
Medication Prescription Policy
Notice About Social Security Number
Office Policy About Managed Care Insurers
Referral Form

Financial Policy

We participate in most insurance plans and will file your insurance claim for reimbursement. On the other hand, it is your responsibility to know the details of your plan regarding referrals, co-payments and deductibles. Please bring your current insurance card and a photo ID on the day of your visit.

A co-payment is required at every visit with most plans, so kindly beprepared in advance. We accept cash, checks and most credit/debit cards.

Please call our billing/insurance department at 770 939-5102 for any questions related to insurance issues. Payment in full is expected in cases where there is no insurance. We will assist you with payment plans and special arrangements like surgery charges upon request.

We currently participate in the following insurance plans:

• Aetna US Healthcare
• Blue Cross Blue Shield PPO only
• Beech Street
• Choice Are Network- Humana
• Cigna
• Georgia 1st
• Great West Healthcare
• Humana
• Humana Tricare
• Humana Wellstar
• Medicaid
• Medicare
• Multi-Plan
• Nova Net
• PHCS
• PrincipalLife
• Southcare
• State Health Benefit Plan
• Unicare
• United Healthcare
• Wellcare CMO

Laboratory Charges

Due to the complexity in billing for your office visit, all laboratory charges will be billed separately. Any questions regarding the laboratory bill need to be addressed directly with them.

• Labcorp (wwww.labcorp.com) -- (770) 939-4811
• Quest (www.questdiagnostics.com) -- (866) 930-3718

 

Contact Us

For map and driving directions, click here.Located at
5635 Peachtree Pkwy.
Suite 140
Norcross, GA 30092
You may also call us at (770) 939-5102


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